What is primary idiopathic hypertension?

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Primary hypertension, also known as primary idiopathic hypertension, is the most common type of hypertension because it accounts for 95% of cases and complications gradually over time. It's called primary or idiopathic because doctors can't pinpoint a specific cause of high blood pressure.

1. What is primary idiopathic hypertension?


Blood pressure is the pressure exerted on the artery walls, created by the heart to transport blood around the body. Hypertension occurs when the pressure intensity is stronger than normal.
Primary idiopathic hypertension is a form of high blood pressure for which the doctor cannot pinpoint the cause. This condition is also known as primary hypertension.
Most cases of high blood pressure are classified as essential hypertension. Another type of high blood pressure is known as secondary hypertension, where the source of the disease is well-defined, such as kidney disease.

Trắc nghiệm: Bạn có hiểu đúng về huyết áp cao không?

Huyết áp cao còn được gọi là kẻ giết người thầm lặng vì bệnh thường không có triệu chứng. Thiếu hụt kiến thức về huyết áp cao có thể làm cho tình trạng bệnh trở nên trầm trọng hơn. Dưới đây là những câu hỏi trắc nghiệm vui giúp bạn hiểu đúng về bệnh cao huyết áp.

2. Is primary idiopathic hypertension dangerous?


Idiopathic hypertension in particular and hypertension in general, if not properly and adequately treated, will leave many serious complications, even death, for patients. Common complications of primary idiopathic hypertension are mentioned as:
Permanently damaged arteries: Healthy arteries allow blood to flow well, unimpeded. Long-term high blood pressure causes arteries to damage, becoming less elastic and stiffer. Therefore, fat in the blood also easily accumulates in the arteries, gradually restricting blood flow, causing blockages, high blood pressure, heart attacks and strokes. Heart complications due to hypertension: High blood pressure causes the heart to work too hard, the higher the blood pressure, the more the heart muscle has to pump more, more effort. Over time, the heart is dilated, to a certain extent will increase the risk of arrhythmia, heart failure, heart attack, sudden death,...
Brain complications: The brain as well as the muscles Other organs in the body need oxygen-rich blood to be pumped by the heart to function properly. Essential hypertension in particular and types of hypertension in general reduce blood supply to the brain, causing transient ischemic attacks (TIAs). If the blood flow is significantly blocked, long-term can cause brain cell death, stroke.
Complications outside the heart and brain: When blood pressure increases, it will lead to increased filtration pressure on the kidney organization, eventually causing kidney failure. In the eyes can cause complications of fundus edema, fundus bleeding, vision loss, blindness. Uncontrolled hypertension can also affect your ability to remember, communicate, and reason.
When detecting the symptoms of hypertension, you need to go to the hospital early to accurately determine the cause and diagnose the disease, thereby giving timely treatment.

Tăng huyết áp vô căn gây ra các biến chứng nguy hiểm tới tính mạng
Tăng huyết áp vô căn gây ra các biến chứng nguy hiểm tới tính mạng

3. Diagnosis of essential hypertension


Checking your blood pressure regularly is the best way to keep a close eye on your blood pressure. Blood pressure readings are usually written as a fraction, such as 120/80 mmHg, with mmHg being the unit of measurement for blood pressure. How to read blood pressure readings after measuring as follows:
The first number is the systolic blood pressure, used to measure the pressure of the blood against the artery walls when the heart pumps blood to all organs in the body The second number is the pressure Diastolic pressure, used to measure the pressure of blood against artery walls when the heart muscle relaxes. Your blood pressure readings can fluctuate up and down throughout the day. They change after exercise, rest, when the body is in pain, and when you are stressed or angry. An occasional high blood pressure reading doesn't mean you have high blood pressure. You are only diagnosed with high blood pressure if the results of 2 to 3 times are above the ideal range.
Your doctor may also ask you to perform the following tests to check for heart and kidney problems in the presence of general signs of high blood pressure:
Cholesterol test: Check the level of cholesterol in the blood Super Echocardiogram: Uses ultrasound waves to create an image of your heart to check for any signs of damage Electrocardiogram (EKG or ECG): Record your heart's electrical activity Kidneys and other function tests: Blood tests, urinalysis, or an ultrasound of the kidneys may be used to check how well the kidneys and other organs are working.

Kiểm tra huyết áp thường xuyên là cách tốt nhất để theo dõi sát tình trạng huyết áp của mình
Kiểm tra huyết áp thường xuyên là cách tốt nhất để theo dõi sát tình trạng huyết áp của mình

4. How to treat primary idiopathic hypertension?


Because idiopathic hypertension does not identify the exact cause, the treatment is also difficult, sometimes it can only overcome the symptoms without completely solving the problem. Patients with essential hypertension need regular health monitoring and appropriate treatment.
For mild cases of essential hypertension May not need to be treated with medication, the doctor will suggest lifestyle changes as well as ways to prevent sudden increase in blood pressure, thereby preventing the risk of developing heart-related diseaes; When having high blood pressure, the patient should minimize the use of stimulants, beer, alcohol, tobacco,...; Exercising 30 minutes a day also helps control blood pressure effectively; Avoid consuming too much salt in the body, add more green vegetables and fruits, eat vegetable fat instead of animal fat, limit hot spicy foods,... In case of severe idiopathic hypertension Blood pressure increase means the risk of developing cardiovascular disease in the next 10 years is over 20%. This rate is quite high, so the use of drugs to treat, overcome and prevent complications is very necessary; Treatment is often a combination of medication and lifestyle changes; Some commonly used drug classes include diuretics, calcium channel blockers, beta blockers, CNS depressants, ACE inhibitors, and angiotensin receptor blockers. With severe idiopathic hypertension If the hypertension is severe, the blood pressure reaches 180/110 mmHg is a very dangerous signal, the patient should be treated as soon as possible, to reduce the maximum. dangerous complications.

Trung tâm tim mạch - Bệnh viện ĐKQT Vinmec Times City với đội ngũ bác sĩ chuyên khoa đầu ngành giúp bệnh nhân an tâm điều trị
Trung tâm tim mạch - Bệnh viện ĐKQT Vinmec Times City với đội ngũ bác sĩ chuyên khoa đầu ngành giúp bệnh nhân an tâm điều trị

Many people have signs of high blood pressure or belong to a high-risk group for high blood pressure but are afraid to go to the doctor, partly because they are afraid of cumbersome medical examination procedures, partly because it is not clear which is a reputable cardiology hospital. credit. Cardiovascular Center - Vinmec Times City International General Hospital is the best choice for patients, because of its comprehensive expertise and quick medical services, promoting professionalism, helping patients not to worry. The patients are assured with the quality of medical examination and treatment but also satisfied and comfortable when visiting here.
Especially, the center gathers a team of leading specialists who can accurately diagnose heart-related diseases:
Master, Doctor Reinel Martin Alvarez Plasencia Professor, Doctor, Doctor Do Doan Loi Doctor, Associate Professor, Dr. Chu Hoang Van Specialist II Doctor, Excellent Doctor Nguyen Bang Phong Specialist II Doctor Nguyen Thi Tuyet Minh Master, Doctor Pham Thanh Van Master, Specialist Doctor II Pham Tuyet Trinh Master, Doctor Nguyen Van Phong Master, Doctor Nguyen Xuan Thanh Master, Doctor, Nguyen Hoang Ha Master, Doctor Dinh Huynh Linh PhD, Doctor Phan Dinh Phong Associate Professor, Tien Doctor, Doctor Nguyen Lan Hieu Master, Doctor Le Xuan Than Associate Professor, Doctor, Doctor Pham Manh Hung Doctor, Doctor Nguyen Sinh Hien Consultant, Professor, Doctor Pham Gia Khai Associate Professor Professor, Doctor, Doctor Nguyen Ngoc Quang

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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